# EliSeg: Verified Target Construction for Report-Grounded Abnormality Segmentation

arXiv: https://arxiv.org/abs/2608.07299 · HTML: https://mlsanity.com/paper/2608.07299/

## Key facts

- No citing papers in the map yet (data through 14 Oct 2026).
- Builds on 11 of its 25 references that are in the map.
- First posted on arXiv 7 Aug 2026.

## Builds on (most cited first, 11 of 11)

- [CheXpert: A Large Chest Radiograph Dataset with Uncertainty Labels and Expert Comparison](https://mlsanity.com/paper/1901.07031/) (2019)
- [CheXbert: Combining Automatic Labelers and Expert Annotations for Accurate Radiology Report Labeling Using BERT](https://mlsanity.com/paper/2004.09167/) (2020)
- [RadGraph: Extracting Clinical Entities and Relations from Radiology Reports](https://mlsanity.com/paper/2106.14463/) (2021)
- [CLIP-Driven Universal Model for Organ Segmentation and Tumor Detection](https://mlsanity.com/paper/2301.00785/) (2023)
- [Learning to Exploit Temporal Structure for Biomedical Vision-Language Processing](https://mlsanity.com/paper/2301.04558/) (2023)
- [Medical SAM 2: Segment medical images as video via Segment Anything Model 2](https://mlsanity.com/paper/2408.00874/) (2024)
- [Interactive Medical Image Segmentation: A Benchmark Dataset and Baseline](https://mlsanity.com/paper/2411.12814/) (2024)
- [VoxTell: Free-Text Promptable Universal 3D Medical Image Segmentation](https://mlsanity.com/paper/2511.11450/) (2025)
- [MedReasoner: Reinforcement Learning Drives Reasoning Grounding from Clinical Thought to Pixel-Level Precision](https://mlsanity.com/paper/2508.08177/) (2025)
- [IBISAgent: Reinforcing Pixel-Level Visual Reasoning in MLLMs for Universal Biomedical Object Referring and Segmentation](https://mlsanity.com/paper/2601.03054/) (2026)
- [MedVL-SAM2: A unified 3D medical vision-language model for multimodal reasoning and prompt-driven segmentation](https://mlsanity.com/paper/2601.09879/) (2026)

## Abstract (arXiv)

Radiology reports describe clinical observations but do not specify executable segmentation targets. They may contain present, negated, prior,uncertain, or irrelevant findings, while multiple valid abnormalities may coexist. Existing segmentation methods largely bypass this ambiguity by receiving a target identity or spatial prompt before inference, which acts as a hidden target oracle. We study report-grounded abnormality segmentation, where a model must determine target eligibility, cardinality, and finding-to-mask correspondence directly from an unfiltered report before delineating the corresponding regions. We propose EliSeg, an atcor--verify--revise framework that integrates target construction with mask generation. A grammar-constrained Actor proposes target slots and masks, an independent text-only Verifier reconstructs the eligible finding inventory, and Revision selectively re-executes the shared Actor when their target structures disagree. EliSeg requires no predefined target identity, finding prompt, point, or bounding box. Experiments on MIMIC-CXR-ILS show that EliSeg consistently outperforms direct segmentation methods and extract-then-segment cascades across findings, while effectively suppressing masks for ineligible report mentions. Ablation studies confirm the complementary roles of verification and revision, and evaluation on CheXlocalize demonstrates effective transfer of the EliSeg to an external dataset.Code is available at https://github.com/Maybach-dream/EliSeg.